RN LEADERSHIP EXAM
1 A nurse is assigned a non-English speaking client who is scheduled for
surgery. Which of the following is the appropriate method for obtaining
inf ormed consent from the client?
Use a professional interpreter.
Request that a family member act as a translator.
Ask a bilingual nurse on the unit to assist the client.
Provide the consent document in the client's native language.
2 When planning for updates on infection control, fire and safety, and
confidentiality issues, which of the following methods of educational
delivery is most efficient?
Classes available monthly by the staff development educators
Day-long training sessions available twice a year
Each unit providing classes at shift changes
Self-directed computer-based modules with posttests
3 A charge nurse is assessing staff knowledge about safety procedures
regarding needle stick injuries. Which of the following statements by a
nurse indicates appropriate understanding of these safety procedures?
"Prophylactic treatment should be initiated after a needle stick during pre
paration of an injection."
"I should stop the bleeding as soon as possible following a needle stick in
jury."
, "An incident report should be completed if a client receives a stick from
her own used needle."
"The needle should be recapped to prevent injury during transport to the
biohazard container."
4 A nurse at a long-term care facility is planning a fall prevention program
for the residents. Which of the following should be included in the plan?
Keep the four side rails up on beds at night.
Apply vest restraints on residents who are confused.
Accompany residents older than 85 during ambulation.
Institute rounds every 2 hr during the day to offer toileting.
5 A nurse is providing discharge instructions to a client who had a
mastectomy and is going home with a drain. Which of the following
statements is ap propriate to include in the instructions?
"Begin performing stretching exercises the day after you get home."
"Keep the incision dry until the stitches are removed."
"Notify the primary care provider if there is numbness at the surgical site.
"
"Follow a low-sodium diet to prevent lymphedema."
6 A client is admitted to the hospital and makes end-of-life care decisions
prior to the arrival of her family. The family arrives and asks the nurse to
, change the client's mind regarding end-of-life care. Which of the
following actions should the nurse take?
Facilitate a meeting with the client and the family.
Have the family meet with the primary care provider.
Request a social service consult for the client and family.
Inform the family that the client's decisions are final.
7 A nurse who is caring for clients on the medical-surgical unit delegates
collection of vital signs to an assistive personnel (AP). Which of the
follow ing nursing actions is important in ensuring safe client care?
The nurse looks at vital sign trends at the end of the shift.
The nurse rechecks an abnormal blood pressure measurement.
The nurse asks the AP to report any unusual findings.
The nurse accompanies the AP during vital sign collection.
8 A nurse working in a rehabilitation facility is caring for a client with
paraplegia from a spinal cord injury. An interdisciplinary team is
scheduled to meet and discuss the client's needs. Which of the following
concerns is the h ighest priority for the nurse to report to the team?
The client has experienced a decrease in appetite.
The client lives alone in a second-story apartment.
The client has a stage I pressure ulcer on his heel.
The client reports fatigue during occupational therapy.
1 A nurse is assigned a non-English speaking client who is scheduled for
surgery. Which of the following is the appropriate method for obtaining
inf ormed consent from the client?
Use a professional interpreter.
Request that a family member act as a translator.
Ask a bilingual nurse on the unit to assist the client.
Provide the consent document in the client's native language.
2 When planning for updates on infection control, fire and safety, and
confidentiality issues, which of the following methods of educational
delivery is most efficient?
Classes available monthly by the staff development educators
Day-long training sessions available twice a year
Each unit providing classes at shift changes
Self-directed computer-based modules with posttests
3 A charge nurse is assessing staff knowledge about safety procedures
regarding needle stick injuries. Which of the following statements by a
nurse indicates appropriate understanding of these safety procedures?
"Prophylactic treatment should be initiated after a needle stick during pre
paration of an injection."
"I should stop the bleeding as soon as possible following a needle stick in
jury."
, "An incident report should be completed if a client receives a stick from
her own used needle."
"The needle should be recapped to prevent injury during transport to the
biohazard container."
4 A nurse at a long-term care facility is planning a fall prevention program
for the residents. Which of the following should be included in the plan?
Keep the four side rails up on beds at night.
Apply vest restraints on residents who are confused.
Accompany residents older than 85 during ambulation.
Institute rounds every 2 hr during the day to offer toileting.
5 A nurse is providing discharge instructions to a client who had a
mastectomy and is going home with a drain. Which of the following
statements is ap propriate to include in the instructions?
"Begin performing stretching exercises the day after you get home."
"Keep the incision dry until the stitches are removed."
"Notify the primary care provider if there is numbness at the surgical site.
"
"Follow a low-sodium diet to prevent lymphedema."
6 A client is admitted to the hospital and makes end-of-life care decisions
prior to the arrival of her family. The family arrives and asks the nurse to
, change the client's mind regarding end-of-life care. Which of the
following actions should the nurse take?
Facilitate a meeting with the client and the family.
Have the family meet with the primary care provider.
Request a social service consult for the client and family.
Inform the family that the client's decisions are final.
7 A nurse who is caring for clients on the medical-surgical unit delegates
collection of vital signs to an assistive personnel (AP). Which of the
follow ing nursing actions is important in ensuring safe client care?
The nurse looks at vital sign trends at the end of the shift.
The nurse rechecks an abnormal blood pressure measurement.
The nurse asks the AP to report any unusual findings.
The nurse accompanies the AP during vital sign collection.
8 A nurse working in a rehabilitation facility is caring for a client with
paraplegia from a spinal cord injury. An interdisciplinary team is
scheduled to meet and discuss the client's needs. Which of the following
concerns is the h ighest priority for the nurse to report to the team?
The client has experienced a decrease in appetite.
The client lives alone in a second-story apartment.
The client has a stage I pressure ulcer on his heel.
The client reports fatigue during occupational therapy.
